Results of the Open Anterior Acromioplasty for Subacromial Impingement Syndrome

Öz

Objective: The aim of this study was to retrospectively evaluate the results of the open anterior acromioplasty in the patients who did not respond to conservative therapy. Materials and Methods: Open anterior acromioplasty was performed in 40 patients with subacromial impingement syndrome. The mean age of the patients was 50 years (range, 35-75 years) and 25 (62.5%) had pathology at the dominant side. The mean follow-up period was 20.3 months (range, 12-42 months). Assessments of the patients were made according to American Shoulder and Elbow Surgeon's (ASES) score, personal evaluation form and range of motion. Results: The mean preoperative ASES score was 43.7+/-14. At the last follow-up the score was 85.5 +/- 14.9 (p

Anahtar Kelimeler

• -

Subakromial Sıkışma Sendromunda Açık Anterior Akromioplasti Sonuçlarımız

Öz

Amaç: Bu çalışmadaki amacımız konservatif tedaviye yanıt vermeyen hastalarda açık anterior akromioplasti cerrahisi sonuçlarının retrospektif olarak değerlendirilmesidir. Gereç ve Yöntemler: Subakromial sıkışma sendromu tanısı konan 40 hastaya açık anterior akromioplasti yapıldı. Hastaların ortalama yaşı 50 (dağılım 35-75 yaş) idi. Hastaların 25'inde (%62,5) dominant omuzda şikayet mevcuttu. Hastaların değerlendirilmesinde omuz hareket açıklığı, American Shoulder and Elbow Surgeons (ASES) skoru ve Vizüel Analog Skala'nın (VAS) yer aldığı kişisel değerlendirme formu kullanıldı. Ortalama takip süresi 20,3 ay (dağılım 12-42 ay) idi. Bulgular: Hastaların ameliyat öncesi değerlendirilmesinde ortalama ASES 43,7+/-14 olarak tespit edildi. Yapılan son değerlendirmede ortalama skorun 85,5+/-14,9 olduğu gözlemlendi (p

Anahtar Kelimeler

• Subakromial sıkışma sendromu, akromioplasti

Kaynakça

1. 1. Chipchase LS, O'Connor DA, Costi JJ, Krishnan J. Shoulder impingement syndrome: preoperative health status. J Shoulder Elbow Surg 2000;9:12-15.
2. 2. Neer CS 2nd. Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report. J Bone Joint Surg Am 1972; 54:41-50.
3. 3. Neer CS 2nd. Impingement lesions. Clin Orthop 1983;173:70- 77.
4. 4. Bezer M, Aydin N, Erol B, Kocaoğlu B, Güven O. Late results of arthroscopic and open anterior acromioplasty. Acta Orthop Traumatol Turc 2004; 38:115-119.
5. 5. Lim KK, Chang HC, Tan JL, Chan BK. Arthroscopic subacromial decompression for stage-II impingement. J Orthop Surg (Hong Kong) 2007; 15:197-200.
6. 6. Chin PY, Sperling JW, Cofield RH, Stuart MJ, Crownhart BS. Anterior acromioplasty for the shoulder impingement syndrome: long-term outcome. J Shoulder Elbow Surg 2007; 16: 697-700.
7. 7. Dayıcan A, Öztürk C,Portakal S, Özkan G, Cılız A, Özkurt B. Subakromial sıkışma sendromunda cerrahi tedavi. Joint Diseases and Related Surgery 2002; 13:73-77.
8. 8. Matsen FA 3rd, Arnts CT. Subacromial impingement. In: Rockwood CA, Matsen FA 3rd, (Editors). The shoulder. Vol. 2, 2nd ed. Philadelphia: W. B. Saunders; 1998: 623-646.

9. 9. Bigliani LU, O.Allessandro DF, Duraide NA, Mc Ilveen SJ. Anterior Acromioplasty for Subacromial Impingement in Patients Younger Than 40 Years of Age. Clin Orthop 1989; 246: 111-116.